The topic content is divided into the information types below
Nursing Perspectives on the Confusion Assessment Method
The Confusion Assessment Method (CAM) is used to detect delirium but its sensitivity is low when used in real-world settings. A study explored reasons for this through a series of focus groups with orthopaedic nurses at two academic hospitals in Hamilton, Canada.
Does pain increase delirium risk in people with dementia during a hospital admission?
Alexandra Feast describes a study which highlights how people with dementia experienced pain for a substantial part of their admission without being able to communicate this pain. It explores the relationship between pain, dementia and delirium.
John's Campaign in Scotland and England
People with dementia are not children but the effect of a hospital stay can be catastrophic for a person with dementia . John's Campaign promotes open visiting hours to enable the family of the person with dementia to minimise the confusion and distress of a hospital stay.
Discussing palliative care for people with dementia living at home and in care homes
Rose Miranda argues that not only researchers, doctors and nurses should be aware of the phenomenon of pain in people with dementia. We need to make the public aware of it too.
Improving the care of patients with dementia in an acute care setting
General hospitals are designed to deliver safe, effective and often highly technological care. For people with dementia, however, these unfamiliar clinical environments can be frightening, disorientating and a threat to independence and wellbeing.
Normal pressure hydrocephalus: treatment seeks disease
Definitions of a disease typically revolve around finding a pathological process in a part of the body that produces an identifiable combination of symptoms and signs. Which parts of this are true for NPH?
Delivering good nutritional care for people with dementia
By the time someone with dementia moves into a care home, they may already be experiencing significant weight loss and other nutrition-related problems. This may trigger further physical and mental deterioration.
John's Campaign - supporting people with dementia
John’s Campaign advocates for the removal of all restrictions on family carers supporting their relatives in hospital and a positive attitude of welcome and collaboration throughout the health and care system.
Helping older people in our care home stay connected
Joint activities such as art, sewing, knitting, cooking or growing plants help relationships grow between the generations.
This Practice Question has been published with the kind permission of the Royal College of Nursing.
Dr Eileen Burns looks at how Comprehensive Geriatric Assessment, better communication and palliative care principles can improve the quality of end of life care for older people, and asks: what constitutes a good death?
Mental Capacity and Deprivation of Liberty
Deprivation of Liberty Safeguards are protections for adults who lack mental capacity to consent to, say, admission to hospital or a care home for treatment or care. Caroline Cooke and Premila Fade assess why they are being reviewed and the Law Commission's proposals.
Dysphagia Management for Older People
Older patients frequently have dysphagia resulting from acute or chronic illnesses. Dysphagia management requires a collaborative approach because of the complexities of older patients' needs, and geriatricians have an important role to play in overseeing this condition.
Recruiting people living with dementia to research studies
The National Dementia Strategy aims to increase the numbers of participants with dementia into clinical research. But recruiting people with dementia can be challenging. What do you need to think about when planning a study involving patients with dementia?
BGS News, May 2018: What is John's campaign?
People with dementia are not children. They are adults with a lifetime’s experience. Yet they are not entirely dissimilar. They are vulnerable and they can be as distressed and disoriented as a child.
Clinical guidelines on mental health
Clinical guidelines and tailored resources from NICE on supporting people with dementia, mental wellbeing of older people in care homes and a video illustrating the NICE quality standards for mental wellbeing in care homes.
Frailty means patients with what appear to be straightforward symptoms may be masking a more serious underlying problem. How to recognise frailty in a routine situation, emergency situation, or in an outpatient surgical setting, including a range of established tests you can use.
Clarification of training requirements for higher specialist trainees in Geriatric Medicine in Old Age Psychiatry
Based on the specialty training curriculum for geriatric medicine, reference is made to the guidelines for collaboration between physicians of geriatric medicine and psychiatrists of old age.
Sexual Intimacy in Residential Care
In 2008 a letter was sent to 826 residential homes in one state in Australia asking them what information was available that addressed issues of intimacy and sexuality.
Mental health - Helping an older person who is experiencing anxiety?
Feeling anxious from time to time is a normal human experience. When someone is anxious they might experience feelings of tension, nervousness, heightened awareness, fear or uncertainty, dry mouth and throat, and tightness in the chest.